Active NPI
Jon Branton, O.D.
- Optometrist
- Shreveport, LA
National Provider Identifier
1275500696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 841-290T
- Practice address
- 451 Ashley Ridge Blvd
Shreveport, LA 71106-7229 - Phone
- (318) 222-5555
- Fax
- (318) 222-6414
- NPI assigned
- Mar 3, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 841-290T | LA | Primary |
Addresses
Primary practice location
451 Ashley Ridge Blvd
Shreveport, LA 71106-7229
Mailing address
451 Ashley Ridge Blvd
Shreveport, LA 71106-7229
Phone (318) 222-5555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1314251 | Medicaid | LA | |
| 841-290T | Other | LA | STATE LIC# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 841-290T | LA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lusk Eye Specialists, LLC | Optometrist | Current | Accepting new patients |
| Eyes & Eyewear Inc. | Optometrist | Past | Accepting new patients |
Locations
451 Ashley Ridge Blvd
Shreveport, LA 71106
Phone (318) 222-5555
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Shreveport, LA
- NPI 1487826996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275500696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 ASHLEY RIDGE BLVD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067229",
"telephone_number": "318-222-5555",
"fax_number": "318-222-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 ASHLEY RIDGE BLVD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067229",
"telephone_number": "318-222-5555",
"fax_number": "318-222-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANTON",
"first_name": "JON",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "841-290T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1314251",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC#",
"identifier": "841-290T",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.